NPI 1972826329

Bonita a Owens, OTRL

Practitioner Contractor Clarksville, TN

Practice location

Address: 159 Valley Crest Ln, Clarksville, TN 37043-2889
Phone: (931) 368-0052

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence TN1917 (TN)

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Registry record

NPI: 1972826329
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2010
Record last updated: 12 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.